HomeMy WebLinkAboutPermit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/2/20 Permit Number:
Q L O u-1 0 C�7 to ----
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:REROOF
PROPOSED IMPROVEMENT LOCATION:
Address: 905 SCOTT ST FT PIERCE, FL 34982
Property Tax ID #: 3402-606-0221-000-8
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
REMOVE EXISTING MODIFIED ROOF AND INSTALL A NEW MODIFIED ROOF
FL#1654.1 POLYFLEX G, ELASTOFLEX SAV
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No. 1,2,3
Block No. 27
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers _ Generator X Roof •25/12 Pitch
Total Sq. Ft of Construction: 600
Cost of Construction: $ 6500
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height: 1 STORY
OWNER/LESSEE:
CONTRACTOR:
Name ERIK PARRISH
Address: 905 SCOTT ST
Name: ANDREW GRIFFIS
Company: ALL AREA ROOFING & CONSTRUCTION
City: FT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No. 772-359-2134
Address: 3921 S US HWY 1
City: FT PIERCE State. FL
Zip Code: 34982 Fax: 772-464-6600
Phone No 772-464-6800
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail FAITH@ALLAREAROOFINGFTP.COM
State or County License CCC1330649
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: NA Not Applicable
MORTGAGE COMPANY: NA Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: NA Not Applicable
BONDING COMPANY: NA Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorney before commencing work or re ordin our Notice of Commencement.
S4not re of Owner/ L ee Con actor as Agent for Owner
nature of Contras o /Lj ens Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF STLUCIE
COUNTY OF STwCIE
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
Physical Presence or Online Notarization
this 2ND day of SEPTEMBER 2020 by
this 2ND day of SEPTEMBER 2020 by
ANDREW GRIFFIS
ANDREW GRIFFIS
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of ntification
Type of dentification
t fodup
Produc
Ll
ignat a of Notary Public- �$pte of Florida)
ec FAITH MASON
Commission No. * + cO"PP#GG960757
Expires June 20, 2024
FOF F<•�p Bonded Tlw Budge(Notary Services``OF
at of Notary Public- State �t;,��orida )
y& ,...,$elC. FAITH MASON
Commission No. * * ( Mission#GG960757
9� Poor Expires June 20, 2024
F% Bonded Thru Budget Notary Services
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